| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
3,012 |
2,358 |
$1.76M |
| 99283 |
|
4,684 |
4,051 |
$1.70M |
| 99285 |
|
1,220 |
982 |
$1.14M |
| 99282 |
|
3,430 |
3,025 |
$804K |
| 80053 |
|
8,026 |
6,629 |
$601K |
| 74177 |
|
494 |
454 |
$526K |
| 85025 |
|
9,627 |
7,958 |
$426K |
| 99281 |
|
2,448 |
2,268 |
$335K |
| 96372 |
|
2,255 |
1,762 |
$245K |
| 97110 |
|
4,915 |
1,826 |
$239K |
| 36415 |
|
9,619 |
8,271 |
$228K |
| 96361 |
|
2,128 |
1,649 |
$213K |
| 80306 |
|
1,365 |
1,178 |
$171K |
| G0481 |
Drug test def 8-14 classes |
849 |
606 |
$166K |
| 87633 |
|
525 |
503 |
$163K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,944 |
1,699 |
$152K |
| 96375 |
|
1,884 |
1,450 |
$151K |
| G0378 |
Hospital observation per hr |
36 |
27 |
$147K |
| 96374 |
|
2,636 |
2,102 |
$135K |
| 84443 |
|
2,480 |
2,389 |
$124K |
| 71046 |
|
1,270 |
1,174 |
$121K |
| 80048 |
|
1,969 |
1,779 |
$120K |
| 80061 |
|
1,610 |
1,578 |
$103K |
| 97530 |
|
2,350 |
769 |
$100K |
| 96365 |
|
854 |
600 |
$96K |
| 83036 |
|
2,061 |
2,009 |
$81K |
| 81001 |
|
3,515 |
3,080 |
$75K |
| 97140 |
|
2,169 |
900 |
$75K |
| 87486 |
|
525 |
503 |
$63K |
| 83690 |
|
1,093 |
937 |
$61K |
| 70450 |
|
156 |
137 |
$59K |
| 87635 |
|
766 |
685 |
$58K |
| 87581 |
|
525 |
503 |
$58K |
| 87086 |
|
1,461 |
1,319 |
$54K |
| G0480 |
Drug test def 1-7 classes |
513 |
449 |
$50K |
| 87591 |
|
581 |
561 |
$49K |
| 87491 |
|
579 |
560 |
$49K |
| 86140 |
|
1,509 |
1,304 |
$49K |
| 96360 |
|
508 |
411 |
$49K |
| 84484 |
|
810 |
585 |
$42K |
| 87651 |
|
407 |
394 |
$38K |
| 87186 |
|
725 |
609 |
$37K |
| 87804 |
|
374 |
333 |
$36K |
| 87798 |
|
601 |
573 |
$35K |
| 93005 |
|
1,154 |
973 |
$34K |
| 97161 |
|
368 |
356 |
$33K |
| 83735 |
|
695 |
531 |
$32K |
| J2405 |
Ondansetron hcl injection |
1,619 |
1,315 |
$31K |
| 81003 |
|
1,085 |
874 |
$30K |
| 83880 |
|
215 |
180 |
$28K |
| 76705 |
|
97 |
92 |
$28K |
| 83605 |
|
536 |
460 |
$25K |
| 87661 |
|
368 |
299 |
$25K |
| J7030 |
Normal saline solution infus |
856 |
703 |
$23K |
| J7120 |
Ringers lactate infusion |
1,037 |
850 |
$22K |
| 84439 |
|
368 |
363 |
$20K |
| 0241U |
|
345 |
322 |
$18K |
| 85652 |
|
626 |
598 |
$16K |
| 71045 |
|
350 |
301 |
$16K |
| 81025 |
|
483 |
459 |
$15K |
| 84145 |
|
72 |
60 |
$13K |
| 74176 |
|
23 |
19 |
$12K |
| J7040 |
Normal saline solution infus |
1,026 |
627 |
$12K |
| 87536 |
|
67 |
64 |
$11K |
| 97035 |
|
535 |
153 |
$11K |
| 99211 |
|
118 |
81 |
$10K |
| 82962 |
|
841 |
583 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
115 |
111 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
1,560 |
1,322 |
$9K |
| 97010 |
|
916 |
311 |
$9K |
| 84703 |
|
168 |
154 |
$8K |
| 82728 |
|
151 |
138 |
$7K |
| 87880 |
|
132 |
127 |
$7K |
| 85027 |
|
116 |
108 |
$6K |
| 87502 |
|
93 |
43 |
$5K |
| 85610 |
|
203 |
154 |
$4K |
| 82805 |
|
32 |
25 |
$4K |
| 82652 |
|
95 |
93 |
$4K |
| 87070 |
|
40 |
36 |
$3K |
| 82607 |
|
63 |
61 |
$3K |
| U0005 |
Infec agen detec ampli probe |
1,102 |
992 |
$3K |
| 87205 |
|
73 |
67 |
$3K |
| J1170 |
Hydromorphone injection |
273 |
183 |
$2K |
| 96376 |
|
44 |
36 |
$2K |
| 97602 |
|
47 |
12 |
$2K |
| 86803 |
|
44 |
41 |
$2K |
| 87389 |
|
55 |
41 |
$2K |
| Q3014 |
Telehealth facility fee |
88 |
84 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
106 |
93 |
$2K |
| J2360 |
Orphenadrine injection |
38 |
37 |
$1K |
| 82570 |
|
31 |
29 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
158 |
136 |
$1K |
| 87077 |
|
14 |
13 |
$914.79 |
| 36416 |
|
35 |
27 |
$711.76 |
| 86780 |
|
16 |
14 |
$686.45 |
| 87480 |
|
12 |
12 |
$666.97 |
| 85379 |
|
15 |
12 |
$652.41 |
| 87340 |
|
14 |
14 |
$532.78 |
| 87510 |
|
12 |
12 |
$510.39 |
| 87899 |
|
26 |
26 |
$441.40 |
| 87088 |
|
17 |
12 |
$312.07 |
| 86901 |
|
13 |
12 |
$266.76 |
| 81015 |
|
103 |
87 |
$265.45 |
| J3010 |
Fentanyl citrate injection |
28 |
27 |
$167.05 |
| 95250 |
|
19 |
18 |
$67.74 |
| A9270 |
Non-covered item or service |
185 |
117 |
$60.98 |
| 96127 |
|
33 |
28 |
$59.10 |
| J2550 |
Promethazine hcl injection |
13 |
12 |
$56.02 |
| 87806 |
|
26 |
26 |
$48.48 |
| 80320 |
|
548 |
465 |
$0.00 |
| 80329 |
|
30 |
13 |
$0.00 |
| T1015 |
Clinic service |
78 |
57 |
$0.00 |